Business Name
Physician First Name
*
Physician Last Name
Lab Express Inc
Practice Name
Specialty

Laboratory

Office Designation
Primary
Address
505 W McDowell Road
85003
Suite
Suite A
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)273-9000
Business Fax
(602)252-0006
ASPA Effective Date
10/6/2008